| NPI | 1417587510 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FARAH QUETTANT-VERGIN Occupational Therapist 917-340-1645 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2020-01-17 |
| Last Update Date | 2020-01-17 |